

Your healthcare provider will check your blood cell counts before you start treatment and regularly during treatment with INQOVI.Ĭall your healthcare provider right away if you get any of the following signs and symptoms of infection during treatment with INQOVI:īefore taking INQOVI, tell your healthcare provider about all of your medical conditions, including if you: Your healthcare provider may need to give you antibiotic medicines to prevent or treat infections or fever while your blood cell counts are low. If your blood cell counts are too low, your healthcare provider may need to delay treatment with INQOVI, lower your dose of INQOVI, or in some cases give you a medicine to help treat low blood cell counts. Low blood counts (white blood cells, platelets, and red blood cells) are common with INQOVI but can also be serious and lead to infections that may be life-threatening. INQOVI may cause serious side effects, including: Reserves the right to rescind, revoke, or amend this offer at any time Maximum reimbursement limitsĪpply patient out-of-pocket expense may vary. Insurance contract requiring notification to his or her payer of theĮxistence and/or value of this offer. Patientįurther agrees to comply with any and all terms of his or her health To submit claim for reimbursement under the above programs.

Presenting or accepting this benefit, patient and pharmacist agree not Offer is not valid and the patient cannot use this offer. The patient is eligible for drug benefits under any such program, this Under Medicaid, a Medicare drug benefit plan, Tricare, or otherįederal or state programs (such as medical assistance programs). Offer not valid for prescriptions reimbursed The US, Puerto Rico, and US territories only. † Restrictions and eligibility: Offer valid in This program is available to blood cancer patients with significant financial need, who may qualify to receive financial assistance for approved travel related expenses.*For commercially insured, eligible patients. At the end of the 12-month period you can reapply.Īdditionally, the Susan –Lang Pay-It –Forward Patient Travel Assistance Program. For those patients that are eligible, you will receive a $500, once within a 12-month period.

LLS also offers financial help for non-medical expenses including: rent, mortgage, lodging, utilities, childcare, car insurance, phone service (land line), and acute dental work related to treatment. It’s very common for them to run out of financial resources during the year. And if you have not yet filled out a request for financial assistance, please do so as soon as possible. Please reach out to LLS at the above listed number if you have any questions. And, if you feel that a drug has been denied, there is an appeal process through the Co-Pay department Monday-Friday 8:30am – 5pm ET. This is important for review or your request will be denied. If, however, your doctor has prescribed a medication related to your treatment and it isn't on the covered list, please submit a doctor’s note including the name of the drug and its supporting medical necessity for your treatment plan. If you are unsure if your drug is covered or if lab test or other expenses are covered, contact the LLS co-pay program. The program cannot provide financial assistance for drugs or treatment that are not included on your insurance drug formulary. You must maintain coverage at all times and the assistance that you are requesting must be covered by your insurance carrier.
#LLS COPAY ASSISTANCE FULL#
For those of you who already have a grant from them for the year, this will allow you to perhaps use the full grant to pay for other needed care in additional to co-pays and deductibles. Effective March 23 rd, 2021, The Leukemia and Lymphoma Society has expanded their lists of treatments and items that their grants will cover.
